Transcript African Horse Sickness

African Horse Sickness
OVERVIEW
 Etiology
 Species Affected
 Epidemiology
 Economic Importance
 Clinical Signs
 Diagnosis and Treatment
 Prevention and Control
 Actions to Take
ETIOLOGY
AFRICAN HORSE SICKNESS VIRUS
 Non-enveloped RNA
 Family Reoviridae
 Genus Orbivirus
 Nine serotypes (1-9)
 All viscerotropic
 Serotype 9
 Endemic areas
 Outbreaks outside of Africa
 Serotypes 1-8
 Limited geographical areas
AFRICAN HORSE SICKNESS VIRUS
 Inactivated by
 Heat (temps greater than 140oF)
 pH less than 6, or 12 or greater
 Acidic disinfectants
 Rapidly destroyed in carcasses that have
undergone rigor mortis
EPIDEMIOLOGY
SPECIES AFFECTED
 Equidae
 Horses, donkeys, mules
 Zebras
 Other
 Camels
 Dogs
GEOGRAPHIC DISTRIBUTION
Endemic in 
sub-Saharan Africa
Outbreaks 
Southern and 
northern Africa
Near and Middle East 
Spain and Portugal 
OIE DISEASE DISTRIBUTION
MAP
INCIDENCE/PREVALENCE
 Seasonal
 Late summer - early autumn
 Cyclic
 Drought followed by heavy rains
 Influences insect breeding
 Epizootics halted by
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
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Frost
Lack of long-term vertebrate reservoir
Reduced numbers of vectors
Control measures
 Vaccination, vector abatement
MORBIDITY/MORTALITY
 Varies with species, previous immunity, form of disease
 Mortality based on species
 Horse particularly susceptible
Species
Mortality
Horses
50-95%
Mules
50%
European and Asian donkeys
5-10%
African donkeys and zebras
Rare
MORBIDITY/MORTALITY
Mortality based on form of disease 
Disease Form
Mortality
Pulmonary form
Up to 95%
Cardiac form
50% or more
Mixed form
70-80%
Horsesickness fever
Typically recover
TRANSMISSION
TRANSMISSION
 Not contagious
 Vector-borne: Culicoides spp.
 Culicoides imicola – principal vector
 C. bolitinos
 C. variipennis
 Other potential arthropods
 Viremia in Equidae
 Horses: 12 to 40 days
 Zebras, African donkeys: up to 6 weeks
CULICOIDES SPP.
 Biting midges, “punkies”, “no-see-ums”
 Extremely small ~1/8”
 Species identified by wing pattern
 Habitat
 Margins of water sources
 Life cycle: 2-6 weeks
 Eggs hatch in 2-10 days
 Females are bloodsucking
 Greatest biting activity dusk to dawn
ECONOMIC
IMPORTANCE
U.S. ECONOMIC IMPACT
 U.S. Horse Industry (2007)
 Inventory: 4 million horses
 Sales: $2.0 billion
 Employment: 4.6 million Americans
 Risk factors
 Disease not in U.S. – naïve population
 Arthropod vector is in U.S.
 Outbreak would result in movement and trade
restrictions
AFRICAN HORSE
SICKNESS IN ANIMALS
INCUBATION PERIOD
 Experimental: 2-21 days
 Natural infection: 3-14 days
Disease Form
Incubation Period
Peracute (pulmonary) form
3-5 days
Subacute (edematous or cardiac)
form
7-14 days
Acute (mixed) form
5-7 days
Horsesickness fever
5-14 days
CLINICAL SIGNS
 Four forms of the disease
 Peracute (pulmonary)
 Subacute edematous (cardiac)
 Acute (mixed)
 Horsesickness fever
 Symptomatic infections most common in
horse and mules
 Zebras typically asymptomatic
PERACUTE - PULMONARY FORM
 Acute fever
 Sudden, severe
respiratory distress
 Dyspnea, tachypnea
 Profuse sweating
 Spasmodic coughing
 Frothy serofibrinous nasal exudate
 Rapid death (few hours)
Foam from the nares due
to pulmonary edema
SUBACUTE EDEMATOUS CARDIAC FORM
Edema 
Supraorbital fossae,
eyelids
Cheeks, lips, tongue,
intermandibular space
Neck, thorax, chest
Not in lower legs
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If animal recovers, 
swellings subside
over 3-8 days
SUBACUTE - CARDIAC FORM
 Terminal stages
 Severe depression, colic, petechiae of
conjunctivae and ventral tongue
 Death from cardiac failure
 Mortality 50% or higher
 Death within 4-8 days
ACUTE - MIXED FORM
 Pulmonary and cardiac forms
 Cardiac signs usually subclinical
 Followed by severe respiratory distress
 Mild respiratory signs
 Followed by edema and death
 Diagnosed by necropsy
 Mortality 70-80%
HORSESICKNESS FEVER
 Mild clinical signs
 Characteristic fever (3 to 8 days)
 Morning remission (undetectable)
 Afternoon exacerbation
 Other signs
 Mild anorexia or depression
 Congested mucous membranes
 Increased heart rate
 Rarely fatal
POST MORTEM LESIONS
 Pulmonary form
 Severe, diffuse
pulmonary edema
 Hydrothorax
 Fluid in abdominal
and thoracic cavity
 Enlarged endematous lymph nodes
 Hyperemia and petechial hemorrhages in intestines
POST MORTEM LESIONS
 Cardiac form
 Yellow gelatinous infiltrate
 Head, neck, shoulders
 Brisket, ventral abdomen, rump
 Hydropericardium
 Submucosal edema of cecum, large colon, rectum
 Mixed form
 Mixture of above findings
AHS IN OTHER SPECIES
 Dogs
 Ingestion of infected horse meat
 Not usually by insect bites
 No role in spread or maintenance
 Dogs usually have the pulmonary form
 Camels, zebras
 Inapparent infection
DIAGNOSIS AND
TREATMENT
DIFFERENTIAL DIAGNOSIS
 Equine viral arteritis
 Equine infectious anemia
 Hendra virus infection
 Purpura hemorrhagica
 Equine piroplasmosis
 Equine encephalosis virus
 Anthrax
 Toxins
DIAGNOSIS
 Clinical signs
 Supraorbital swelling is characteristic
 History
 Prevalence or exposure to
competent vectors
 Travel from enzootic area
 Laboratory tests - definitive diagnosis
 Serotype needed for control measures
LABORATORY DIAGNOSIS
 Laboratory tests
 Virus isolation
 ELISA, RT-PCR
 Serology (tentative)
 Necropsy: spleen, lung, lymph node
 More than one test should be used
 AHSV does not cross-react with other known orbiviruses
SAMPLING
 Before collecting or sending any samples, the proper
authorities should be contacted.
 Samples should only be sent under secure conditions and
to authorized laboratories to prevent the spread of the
disease.
SAMPLES TO COLLECT
 For virus isolation
 Blood samples
 Necropsy samples
 Spleen, lung, lymph nodes
 Paired serum samples are recommended
 Store and transport samples at 39oF
AFRICAN HORSE
SICKNESS IN HUMANS
AHS IN HUMANS
 No natural infection in humans
 Neurotropic vaccine strains
 Transnasal infection can lead to encephalitis or
retinitis
 Handle modified live AHS vaccine strains with
caution
PREVENTION AND
CONTROL
DISINFECTION
 Disinfectants
 Sodium hypochlorite (bleach)
 2% acetic or citric acid
 Killed
 pH less than 6
 pH 12 or greater
 Rapidly destroyed in carcasses that have
undergone rigor mortis
CONTROL
 Quarantine
 Equidae from endemic areas
 Asia, Africa, Mediterranean
 Minimum 60 days at point of entry
 Vector control and protection
 Insect repellants
 Stable in insect-proof housing
from dusk to dawn
CONTROL
 Monitor temperature of all equids
 If febrile
 Euthanize or isolate in an insect-free stable until cause
is determined
 Vaccination
 In endemic areas
 Surrounding protection zone
 Not available in the U.S.
VACCINATION
 Attenuated live vaccine available
 Horses, mules, donkeys
 Not in U.S.
 Reassortment possible
 Teratogenic
 No killed or subunit vaccine available
 Recovering animals
 Lifelong immunity post-infection
to the infecting serotype